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Safe Driving vs. InsomniaFiled Under: ADHD Sleep Advice, ADHD Stimulant Medications, ADD Meds: Dosing
Q:
"The stimulant I take makes it hard for me to fall asleep, but I'm a safer driver when I take it. How can I balance these factors when I have to drive at night?" 
A:
If you're a safer driver when you take your medication, you should always be on it when you drive, day or night. But try to time your dose so that it wears off by the time you go to bed. For example, if you need to drive between 8 and 10 p.m. and want to go to sleep by 11 p.m., you might take a four-hour dose at 6 p.m. If any dose, especially one taken much earlier in the day, causes sleep problems after it should have worn off, ask your doctor about using a different medication.
Larry Silver, M.D., is the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.
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